A A Hussein1, E El-Karef, M Hafez. 1. Department of Orthopaedics, Princess Alexandra Hospital, Harlow, Essex, UK.
Abstract
AIMS: This study reports 21 patients who underwent reconstructive surgery for destructive spinal tumours. MATERIALS AND METHODS: The mean age was 49 years (range: 39-71 years). Primary lesions were met in two cases. Secondary spinal tumours were diagnosed in 19 cases. Thirteen were breast carcinoma metastases (61.9%). The cervical spine was involved in four cases, thoracic spine in six cases, and the lumbar spine in 11 cases. One patient underwent decompression laminectomy and posterior pedicle screw stabilization. The others underwent tumour tissue excision, with spinal reconstruction with autogenous bone grafting, with or without vertebral body replacement prosthesis. Anterior and posterior stabilization of the vertebral column was also used. RESULTS: The objectives of surgery were achieved, in that early ambulation, easier nursing care, pain relief and neurological recovery were reported in all cases. No surgery-related complications were encountered. CONCLUSIONS: We recommend surgical intervention for such lesions where reasonable longevity is anticipated. Copyright Harcourt Publishers Limited.
AIMS: This study reports 21 patients who underwent reconstructive surgery for destructive spinal tumours. MATERIALS AND METHODS: The mean age was 49 years (range: 39-71 years). Primary lesions were met in two cases. Secondary spinal tumours were diagnosed in 19 cases. Thirteen were breast carcinoma metastases (61.9%). The cervical spine was involved in four cases, thoracic spine in six cases, and the lumbar spine in 11 cases. One patient underwent decompression laminectomy and posterior pedicle screw stabilization. The others underwent tumour tissue excision, with spinal reconstruction with autogenous bone grafting, with or without vertebral body replacement prosthesis. Anterior and posterior stabilization of the vertebral column was also used. RESULTS: The objectives of surgery were achieved, in that early ambulation, easier nursing care, pain relief and neurological recovery were reported in all cases. No surgery-related complications were encountered. CONCLUSIONS: We recommend surgical intervention for such lesions where reasonable longevity is anticipated. Copyright Harcourt Publishers Limited.